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Remove a nerve from a tooth in Kyiv | Oxford Medical

Tooth nerve removal (pulpotomy)

When acute toothache or a feeling of “aching” discomfort appears, you want only one thing — for it to pass as quickly as possible. Often this is a symptom of deep caries, the treatment of which requires removal of the tooth nerve.

Depulpation of a tooth is a procedure during which the doctor removes the affected pulp, eliminates the source of pain and inflammation, which makes it possible to preserve the tooth. The treatment is performed under anesthesia, so the process is painless.

At «Oxford Medical», depulpation is performed by experienced dentists using expert-class equipment, modern endodontic technologies and high-quality materials from leading manufacturers. This approach ensures high precision of canal treatment, reliable results and long-term sealing.

If you have a toothache or suspect inflammation, make an appointment with a dentist at «Oxford Medical». We will quickly determine the cause and offer effective treatment.

Indications for Tooth Nerve Removal

Inflammation inside the tooth does not always manifest itself as sharp pain,
but it is it that most often requires root canal treatment. The main task of the
doctor is to stop the infection, preserve the tooth tissue and prevent
complications. That is why nerve removal in case of pulpitis and other deep
lesions is often a necessary stage of treatment.

Indications for removal of the dental nerve are:

Acute or chronic pulpitis. Inflammation of the pulp is accompanied by pain, temperature sensitivity or discomfort when pressing.

Deep caries. When the infection gets close to the nerve tissues or already affects them.

Inflammation around the root. If the infection spreads to the bone tissue, periodontitis occurs or a cyst forms.

Preparation for prosthetics. In some cases, the nerve is removed to ensure the stability of the future prosthetic structure and extend the life of the tooth.

List of diseases

How Tooth Nerve Removal Is Performed

Removal of the tooth nerve and canal filling is a complex stage of endodontic treatment that requires high precision and the doctor’s experience. The dentist assesses the condition of the tooth, determines the degree of inflammation and chooses the optimal treatment method. Depending on the situation, treatment may take 2 or 3 visits: this allows for thorough elimination of infection and safe restoration of the tooth.

The main stages of tooth nerve removal:

Examination and diagnosis

The doctor examines the tooth, assesses the depth of the lesion and performs targeted X-ray or CT to determine the shape, number and patency of the canals.

Anesthesia

Modern local anesthetics are used to ensure comfort and complete pain relief during the procedure.

Creating access to the pulp

The dentist removes caries-damaged tissues and opens the tooth cavity to access the root canals.

Pulp removal

Nerve tissues are removed with special instruments. In complex cases, nerve removal under a microscope may be used if the canal anatomy requires additional precision.

Cleaning and disinfecting the canals

The canals are shaped, cleaned and rinsed with antiseptic solutions to completely eliminate the infection and prepare them for filling.

Canal filling

After cleaning, the canals are hermetically filled with a special material that prevents recurrent inflammation. 

After that, the teeth are filled to completely restore them.

Closing the tooth with a temporary filling.

After canal filling, a temporary filling is placed. It allows assessment of the tissue response and ensures that the treatment is progressing successfully.

Placing a permanent filling

At the next visit, the temporary filling is replaced with a permanent one. If the tooth is significantly damaged, the doctor may recommend a crown for reliable and long-term reinforcement.

 

Recommendations After Tooth Nerve Removal

After the procedure, the tooth needs time to recover. Mild discomfort during the first days is possible after any intervention in deep tooth tissues, including dental treatment, nerve removal or restoration, and this is a normal reaction. Proper care will help reduce unpleasant sensations and make the recovery period easier.

Dentists recommend:

  • Not eating until the anesthesia wears off. This lasts about 1.5–2 hours.

  • Taking painkillers if recommended by the doctor.

  • Avoiding chewing on the treated side, especially if a temporary filling is placed.

  • Avoiding alcohol, smoking and intense workouts for 2–3 days.

  • Maintaining daily hygiene but brushing carefully in the treatment area.

You should see a dentist if the following symptoms appear:

  • the pain intensifies or does not decrease;

  • swelling appears or temperature rises;

  • the temporary filling falls out.

What Happens to the Tooth After Nerve Removal?

After depulpation, the tooth maintains its strength if the canals are properly filled and the crown part is correctly restored. Changes affect only the internal tissues: nerve fibers are removed, so the tooth no longer reacts to temperature stimuli.

If the tooth was significantly damaged by caries, additional reinforcement may be required — for example, placement of a crown.

After depulpation of front teeth, slight enamel darkening is possible. At the patient’s request, this can be corrected with restoration or veneers.

Depulpation of a wisdom tooth requires a separate approach: due to variable canal anatomy, the decision on the feasibility of treatment is made individually. If performed properly, this procedure also allows for saving the tooth and preventing complications.

In general, with properly performed endodontic treatment and timely restoration, the tooth can serve for many years.

Tooth Depulpation: Price at «Oxford Medical»

The cost of endodontic treatment depends on the complexity of the case and the amount of work required for full tooth restoration. For tooth depulpation, the price may differ for front and chewing teeth, as they have a different number of canals, as well as in situations requiring repeated endodontic treatment.

If you need to remove a tooth nerve, you can check the price here. More precise details about the treatment features and cost will be provided by the dentist during the consultation.

Frequently Asked Questions

How long does the tooth hurt after nerve removal?

During the first 1–3 days, slight discomfort when pressing or chewing is possible — this is a normal tissue reaction after canal treatment. The sensations gradually decrease. If the pain does not subside or increases, you should see a dentist, as similar symptoms may sometimes be unrelated to canal treatment, for example in gum inflammation or early forms of periodontitis.

How long can a tooth “live” without a nerve?

With high-quality canal filling and proper restoration, the tooth can serve for decades. Prognosis depends on the root anatomy and tissue condition before treatment.

How to preserve a tooth after nerve removal?

It is important to avoid excessive load, maintain hygiene and visit the dentist for regular check-ups. If the tooth was severely destroyed, the doctor may recommend placing a crown to distribute chewing load evenly and prevent cracks.

Is it possible to fill a tooth without nerve removal?

Yes, if the infection has not affected the pulp. In cases of very deep caries, simple filling may be insufficient and the doctor will recommend canal treatment.

Why is a temporary filling placed after nerve removal?

A temporary filling is placed because after cleaning and filling the canals it is necessary to ensure that the inflammation has completely stopped. It protects the tooth between visits and allows monitoring the condition without the risk of “sealing in” a possible problem under a permanent restoration. At the next visit, when the doctor confirms absence of symptoms, a permanent filling or crown is placed.

Does the tooth darken after nerve removal?

Darkening is possible due to changes in the internal tooth tissues. The degree of colour change is individual. If necessary, restoration, a crown or veneers can be performed. At the patient’s request, tooth nerve removal in Kyiv can be combined with aesthetic restoration.

Can a tooth nerve be removed during pregnancy?

Yes, treatment can be performed during pregnancy if necessary. The doctor selects safe anesthetic methods and minimizes radiation exposure. Tooth nerve removal during pregnancy is performed in cases of acute pain or risk of complications. Timely treatment is safer than prolonged infection.

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Advantages of Tooth Nerve Removal in Kyiv at «Oxford Medical»

X-rays and CT scans allow accurate assessment of canal condition and selection of the optimal treatment strategy.

Experienced dentists work according to international protocols, ensuring predictable results.

Use of premium-class materials ensures reliable sealing of the canals and long-term results of endodontic treatment.

Possibility of comprehensive tooth restoration: filling, restoration or crown placement — all in one place.

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Ганна 22.01.2026
Дуже вдячні лікарю, адміністрації, всій команді. Приїхали у Київ на операцію з Запоріжжя. У день операції у клініці було відсутнє живлення через масовані обстріли на енергосистему. Колектив з порозумінням сприйняв нашу ситуацію, приїзд за важких умов, професійно організували оперування в іншій кліниці. Ви команда професіоналів! Дякуємо!
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Катерина 15.01.2026
Віталіна Павлівна дуже уважно поставилася до моєї ситуації. Працює дуже акуратно, не було жодного відчуття страху. Після лікування нарешті зник дискомфорт, за що їй щиро вдячна.
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